Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Mar 18:2014:bcr2013201891.
doi: 10.1136/bcr-2013-201891.

Intraparenchymal haemorrhage and uncal herniation resulting from dobutamine stress echocardiography

Charles-Lwanga Kobina Bennin  1 , Virin Ramoutar, Gladys Velarde
Affiliations
Case Reports

Intraparenchymal haemorrhage and uncal herniation resulting from dobutamine stress echocardiography

Charles-Lwanga Kobina Bennin et al. BMJ Case Rep. .

Erratum in

  • BMJ Case Rep. 2014;2014. doi:10.1136/bcr-2013-201891corr1

Abstract

Intracranial haemorrhage (ICH) resulting from dobutamine stress echocardiography (DSE) is a rare complication in an otherwise relatively safe procedure. There has been one previously reported case of ICH associated with DSE in a patient who was fully anticoagulated. The authors report a second case of ICH associated with DSE leading to a poor outcome. Unlike the previous report, this patient was not fully anticoagulated and bleeding resulted from uncontrolled hypertension. Clinicians should be attentive to the risk of ICH associated with DSE in the setting of uncontrolled hypertension.

PubMed Disclaimer

Figures

Figure 1
Figure 1
CT of the head without contrast demonstrating large left intraparenchymal temporal lobe haemorrhage with extra-axial extension. Significant mass-effect with left-to-right midline shift and left uncal herniation are also seen.
See this image and copyright information in PMC

References

    1. Geleijnse ML, Krenning BJ, Nemes A, et al. Incidence, pathophysiology, and treatment of complications during dobutamine-atropine stress echocardiography. Circulation 2010;121:1756–67 - PubMed
    1. Sicari R, Nihoyannopoulos P, Evangelista A, et al. ; European Association of Echocardiography Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC). Eur J Echocardiogr 2008;9:415–37 - PubMed
    1. Pellikka PA, Nagueh SF, Elhendy AA, et al. American Society of Echocardiography recommendations for performance, interpretation, and application of stress echocardiography. J Am Soc Echocardiogr 2007;20:1021–41 - PubMed
    1. Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2012;60:e44–164 - PubMed
    1. Cheitlin MD, Armstrong WF, Aurigemma GP, et al. ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography-summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography). J Am Coll Cardiol 2003; 42:954–70 - PubMed

Publication types

MeSH terms